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Fall progress note checklist

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This checklist contains everything you need to include in a fall progress note as well as other things to make sure you complete.

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Here’s a couple tips to make your med pass easier and save time. 💊 Know the generic vs trade names of meds 💊 Know what meds are kept in the fridge Follow for more tips!

"💫 'Just don't give up trying to do what you really want to do. Where there is love and inspiration, I don't think you can go wrong.' 💖✨ Let love and passion fuel your dreams. Never forget why you became a nurse. If you need help and some encouragement or advice: Comment: ZOOM Schedule a zoom session with us for some 1:1 help #NeverGiveUp #InspiredLiving #ChaseYourPassion"

🩺 Three tips you need to know 🩺 Starting your shift on the right foot begins before you even step on the floor! ✨ Mentally prepare – Take a moment to focus and clear your mind. Visualization or a few deep breaths can make all the difference. 📚 Stay current – Keep your knowledge sharp by reading medical journals, research updates, or articles. Staying informed helps you feel more confident and ready to tackle anything! 💬 Find healthy coping strategies – Stress is part of the job, but it doesn’t have to consume you. Vent to a trusted friend or coworker, journal, or take a walk—whatever works for you! Taking care of your mental and professional health keeps you ready to give your best care. You’ve got this! #NurseLife #ShiftPrep #NurseTips #MentallyStrongNurse #StayCurrent #HealthyCoping

Believing in yourself is the first step to making it happen! 🌻✨ You're already halfway there—keep going! Need more help? Comment: ZOOM Schedule a zoom session with us today for some 1:1 coaching :) #BelieveInYourself #HalfwayThere

💬 Handling Tough Questions from Family Members 💬 As nurses, we often get hit with hard questions like these. It can be frustrating when there isn’t a satisfactory answer. Frustrating for both parties involved. These moments can feel overwhelming, but remember: families ask because they care. Here are some tips for navigating these conversations: ✅ Stay calm – Even if you don’t have all the answers, your calm presence matters. ✅ Be honest – It’s okay to say, “I don’t know yet, but I’ll find out.” ✅ Offer reassurance – Let them know what steps you’re taking to help their loved one. Your compassion and professionalism will make a big difference in the tone of the conversation and may help calm an upset family member. REMEMBER: You won’t always have an answer they like and some people will stay mad. That’s just the reality unfortunately. COMMENT: communication to get our $9 communication Ebook today for more tips like these! #NurseLife #familysupport #NurseCommunication #newnurse

🩺 Staying Organized During Your Shift 🩺 Let’s be real—staying organized isn’t easy, especially when things get hectic! But here are a few tips to help you stay on track: ⏰ Use timers and reminders – Set alarms on your phone to remind you of tasks. For example, if you need to recheck something in 15 minutes, set a timer to stay on top of it. 📋 Prioritize your tasks – This takes time to master, so be patient with yourself. Start by focusing on the most important tasks first, and slowly you’ll get better at managing the rest. 🗂 Need help planning your shift? If you work in long-term care, download my free shift planner to keep everything organized on one sheet of paper! Just comment: planner #NurseOrganization #StayOnTrack #ShiftPlanning #NurseTips #NurseLife #TimeManagementForNurses

In our darkest moments, it's the light we choose to focus on that guides us through. 🌟✨ Keep searching for the light, even when times are tough! If you're having trouble with your nursing career, please reach out. We are here for you and would love to help you. Comment: ZOOM You'll get a link to get a 30 minute zoom session with us! #FindTheLight #Resilience

Unlock the key to effective nursing communication with A Nurse's Guide to Communication. This essential guide offers practical tips, real-life conversation examples, and easy-to-remember acronyms to help nurses navigate critical interactions with confidence. Whether you're discussing care plans with doctors or providing support to families, this book equips you with the skills you need to communicate clearly and compassionately. Perfect for nurses at any stage of their career! Comment COMMUNICATION to get yours today!

🌸 MIDWEEK CHECK-IN 🌸 How are you taking care of yourself today? Whether it’s a quick walk, a deep breath, or enjoying your favorite cup of tea, don’t forget – you deserve a moment of calm, too. Taking care of others is what we do, but we can’t forget to refill our own cups. We can’t pour from an empty one. That’s a quick way to get burnt out. Getting burnt out will impact the quality of our patient care and affect our mental health. We will stop caring. That’s why it’s important to prevent burn out. Tag a fellow nurse who needs this reminder ❤️ #selfcare #nurselife #mentalhealthmatters💚

It’s never too late to chase a new dream or set a fresh goal! Age is just a number—let’s keep reaching for the stars! ✨🌟 Is nursing a career change for you? Lots of people go into nursing later in life. Let me know if that's you! #NeverTooLate #DreamBig

🚨 ATTENTION NURSES! 🚨 Want to improve your documentation and communication skills? We’ve created eBooks packed with tips and strategies to help improve your documentation and communicate effectively. Whether you’re a new nurse or looking to sharpen your skills, these eBooks are made for YOU! 💡 ✅ Improve your confidence ✅ Save time on charting ✅ Communicate clearly with your team Grab your copy today and take your nursing practice to the next level! 🚀 Comment COMMUNICATION or PROGRESS NOTE to get yours today! #NurseLife #NurseTips #NurseDocumentation #NurseCommunication #NursingSuccess #NurseEducator #NursingEbooks

🌟 Calling all nurses! 🌟 Are you looking for expert tips to excel in your nursing career? We’re here to help you thrive! From mastering documentation to building confidence in patient care, our resources are designed to set you up for success. 💼💉 📚 Check out our eBooks for practical advice (comment PROGRESS NOTE or COMMUNICATION) 🎥 Join our YouTube community for monthly videos 💻 Book a personalized Zoom session for 1-on-1 coaching (comment ZOOM) Let’s take your nursing career to the next level together! Follow us for tips and inspiration 👉 @nursingwithbenomi #NurseLife #NurseSuccess #NursingCareer #NurseTips #HealthcareProfessionals #NursingJourney #nurseinspiration

In nursing, every day presents new challenges. Whether it’s mastering a clinical skill, perfecting patient documentation, or balancing the demands of patient care, it takes perseverance and dedication. 💉💪 Success in nursing doesn’t come from always getting it perfect on the first try—it comes from learning, improving, and pushing through challenges. Just like champions, nurses keep showing up, refining their skills, and striving to deliver the best care possible. 💡 So, keep going! If something didn’t go as planned today, it’s okay—learn from it, grow, and keep moving forward. Champions in nursing are the ones who never stop improving. What’s one skill or goal you're working on today? Let’s inspire each other in the comments below! 👇 #NurseLife #NursingChallenges #GrowthMindset #KeepPlaying #NurseGoals #NurseInspiration #ChampionMindset #NeverGiveUp #NurseMotivation #PatientCare

Ever wonder how our nursing e-books come to life? Here’s a sneak peek behind the scenes. From brainstorming topics to diving deep into research and personal experiences, we work hard to create resources to help nurses thrive in their careers. Whether you’re looking to improve your documentation skills or advance your communication with patients, we’ve got you covered! What nursing topic would you like us to cover next? Let us know in the comments! #nurseeducation #bts #nurseresources #nurselife #nursingsuccess

📚✨ Ready to level up your nursing communication skills? Our new book "A Nurse's Guide to Communication" is your ultimate guide to mastering those critical conversations. COMMENT: Communication 🗣️ Featuring sample dialogues, helpful acronyms, and countless tips, this book will help you navigate discussions with doctors and families with confidence and ease. Whether you’re a new nurse or a seasoned pro, this is the tool you need to succeed in every interaction. 💡 Start communicating like a pro—grab your copy today! #NursingLife #HealthcareHeroes #NurseTips #EffectiveCommunication #NurseSuccess

True strength isn’t about what we can do effortlessly; it’s about conquering the challenges we once thought were impossible. 💪✨ Every step forward is a testament to our growth! #OvercomingObstacles #StrengthWithin

If your patient falls here a couple of ways you can have that conversation. Make sure to be ready to answer the question, why did they fall? Comment “communication” to get your communication e-book today. It has loads more information on how to have conversations with family members and practitioners.

Are you a nurse who has trouble communicating with families or practitioners? This book is for you, there are tons of sample conversations and lots of general tips. Comment “communication” now to get your copy :)

Preparing before you call and talk to a family member will make your conversations easier. Some questions you should be prepared to answer are: What happened? Are they okay? What are you planning to do about it? Learn more by purchasing our communication book today. Comment “COMMUNICATION” to get the link Use code INTRO20 to get 20% off for the first 20 people

Are you a nurse who has trouble figuring out how to talk to doctors or family members? How to break bad news or initiate a difficult discussion? This 31 page e-book has everything you need to become proficient in your communication skills. Including sample conversations and loads of tips, this book is your ideal companion as you strive to improve your nursing practice. Comment “COMMUNICATION” to get yours today! The first 20 people will get 20% off with code INTRO20

Talking to family can be intimidating, but there is a simple formula that will be in our book. These are all the things you should include when calling family members or guardians about an incident that has occurred. Give us a follow to find out when our book is released and get your copy as soon as possible!

In case you haven’t heard..

What is your dream job?

You are enough.

Here is a simple way to prevent med errors. It may be tempting to wait till your med pass is over to sign everything off. But if you do that, you are seriously setting yourself up for a med error. Also, the time stamp will be wrong which could also be a problem. Particularly when giving PRNs. Share and give us a follow for more tips!

Med administration trip for ya. Learned this one the hard way 😂

Who do you want to be when you grow up?

Top tips for administering medication’s through a peg or G – tube. This is the proper way to administer the medication‘s and the way you will need to do it when you are being audited by a state surveyor. 💊 Crush the medication is finally as you can, and dissolve with warm water. 💊 flush with about 30 cc of water in between each medication. 💊 certain medications cannot be crushed, make sure you are aware. 💊 look for opportunities to ask the doctor to change certain medications to a liquid form. 💊 always check for placement prior to administering meds also. Check with your facility for their protocol in doing this. 💊 if it’s clogged, don’t force push the liquid. Trust me…it will backfire- literally and you will get a bit of a shower 🤢 😂 been there done that. What are your peg tube tips?

In case you didn’t hear…

I just love this quote. Always look for the positive and focus on that. There is too much negative out there and focusing on it will bring you down. Even if you're having a terrible day at work, remember that it will end and will just become a memory.

What opportunity have you been waiting for? It may not come, so seek it out or make it yourself. Easier said than done, but at least try!

When you write a progress note for a transfer out from a nursing home/rehab center, it’s important to have certain details. What happened What time they left Where they went to (very important!) Who was notified Bedhold policy provided Bedhold policy is a Medicare requirement to be provided to a patient when they go out to the hospital. If the patient is unconscious, just put it with the hospital paperwork so you can document that it was provided. Then you can discuss with the family. Social services may help in this regard. What else would you add to a note like this?

We had a great time at our graduation party event held @elnido_eats! We had lots of great discussions about nursing, how to act in certain situations, interview questions and more! We’ll be meeting up again in about 6 months to check on the progress of our new nurses!!! Lots of companies and wonderful people donated products and discounts which was super nice! @liveowyn @awakechocolate @nursesinspirenurses @mels.crafty.corner @drinkolipop @trilogyhhc @catlgolden @drinkbubblr Thank you to everyone who donated, and the kindness of the people at el Nido Mexican restaurant ❤️ we will definitely be back! And of course my purple party hair had to make an appearance 💜😻

Here are some examples of restraints in nursing homes. A lot of people don’t view these things as restraints but the state laws do. These are very important to know if you work in a nursing home, or have a family member going into one. Follow for more tips!

'You decide where to go'. If you want to make a change...GO FOR IT! Choose to be happy :) If you feel stuck, think about what it is that's keeping you there. Do you want to change specialities but think you don't know enough? When you were a new grad, you didn't know enough and someone still hired you lol. You've got this, you can always learn.

Are you a new nurse grad? Want to have someone to talk to about your worries and concerns? Sign up for a zoom call with us to talk about anything you want. We are here for you and are a great resource for you! Need help with time management? Delegation? Med pass? What to expect as a new nurse? A zoom session is just what you need! Comment “zoom” to get the link now 😁

Sample admission progress note for ya! It’s super important to write good quality progress notes, they are part of the legal record. When starting out as a new nurse, it can be super hard to know if your progress notes are adequate or not. That is where my book comes in. It comes with over 25 sample progress notes so you have an idea of what you can write. Comment “progress note” to get the link to my progress note ebook now!

If you could do anything, or go anywhere, where or what would you do? I think I would like to travel the world and try all kinds of exotic foods. Don't be afraid to dream!

We keep giving you advice, but here’s why you can trust us. We love helping nurses succeed in their career, whether they’ve been doing it for a little while or are brand new. Between the two of us, we have lots of experience and all different specialties. We are here for you to help you with any of your needs. Comment “zoom” if you would like a one on one meeting with us.

Comment “progress note” to get the link to my progress note ebook now!

Sample progress note for you! It’s important to document the patient’s status when you document their discharge so there is proof patient was in stable condition when they went home or to a lower level of care. Save this example for the next time you have a discharge! 📝 Comment “progress note” to get the link to my progress note ebook now!

What change do you want to make? Work on a quality you don't like in yourself? Change specialties? Move to a different city? Change your eating habits? Every change starts with a baby step! You can do anything you want to, you just have to start!

Here is a sample progress note you can write after speaking with a family member. Comment “progress note” to get my Ebook today with over 30 sample notes like this.

Have trouble giving meds through a PEG tube? These tips should help. Follow for more helpful nursing tips ❤️

Here is a sample progress note you can write when reporting labs. It’s a good idea to add the name of the practitioner you spoke with as well. (I once heard a doc mad because they had no idea who gave an order for something on nights because it wasn’t in the note) Comment “progress note” to get the link to my progress note ebook now for more sample notes like this

Monday Inspiration! What type of attitude/qualities do you think you need in order to be successful in nursing? Patience? Endurance? Optimism? What do you think?

Self care Sunday! Today we decided to take a walk before it got too too hot 🥵 What are you doing to take care of yourself today?

Always do an admission progress note! It’s important to include all these things in long term care setting: Date/time Diagnosis they are being admitted for A general assessment That you reviewed meds and provided plan of care to pt. Comment “progress note” to get your progress note e book today!

I truly want to help all of my new nurses out there and those who are transitioning to long term care or just need some refreshers. Give us a follow ❤️

Writing progress notes is really hard at first! Get my progress note e-book today to save yourself some hassle and get some awesome sample progress notes to help you as you write yours. Let me know if you have any questions! “Progress note“to get the link today!

Come celebrate your achievements! We will be giving away a littmann core stethoscope and nice swag bags too! If you’re in the Naples/Ft Myers area please come and share this post with your friends. ❤️🎊❤️ DM to RSVP

Let’s take care of our patients who can’t verbalize pain! Do you have patients like that who could benefit from routine Tylenol?

It gives me the warm and fuzzies when I get comments about how much help we have been. People saying our YouTube channel is a “goldmine”, progress note book “is the best purchase ever” and zoom session was “very helpful.” Thank you all for such kind comments! Give us a follow if you want to have the same experience as these ones. ❤️

Med pass can be hard but here are a few tips to help you out. Make sure to double tap if you find this helpful!

A simple formula for writing your progress notes. For more tips like these and over 20 sample progress notes, get my e book. Comment “progress note” to get the link today!

Some med administration tips including prioritization! Double tap if you want more posts like these!

Comment “progress note” to get a copy of my progress note ebook for more sample notes like this!

Take care of yourself and find a specialty that makes sense for you!

Taking care of dementia patients can by trying. Here are a few tips to help you out. Double tap if you want more posts like this!

Comment “progress note” to get my progress note e book which has over 20 sample progress notes like this!

Here are some important wound care tips for you. Let me know your tips in the comments below. And as always, please ask questions if you have any. For more excellent wound care information, be sure to check out @woundsource Don’t forget to share this post with someone who needs to hear it! #sharingiscaring #woundcare

Iv tips! #intravenoustherapy #newnurseproblems

How to speed up your med pass. When you first start out it can be pretty hard if you don’t know the brand and generic names of meds. Work on memorizing those as well as which meds are kept in the fridge to minimize the time you spend looking for them.

Lots of times INR levels are messed up when a patient on warfarin starts an antibiotic. They will usually need more frequent monitoring of their blood levels. It’s very important to make sure the doctor is aware of this potential interaction. Amiodarone is another medication that often has an interaction with antibiotics. Always make sure to check for allergies as well. And don’t forget to write your progress note! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #hospitalnurse

Afib can cause an incorrect reading on a pulse ox or auto bp cuff. Always check manually if it is abnormal. PS Enjoy these sounds of nature 🦅 #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #hospitalnurse #homecarenurse

Speeding up our med pass is something that is a struggle. Especially as a new nurse. Here are a couple tips to help you out! And if your having trouble with progress notes be sure to get our progress note ebook by commenting “progress note” #medication #medpass #newnursehelp #nursingwithbenomi #newnurseproblems

When your patient has low blood sugar it’s important to document each blood sugar that you take as their sugar is getting better. This way it’s easy to see how the interventions worked and how long it took for the sugar to become normal. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #diabetes

Here are some things you should do to reduce the risk of pressure ulcers in your patients with limited mobility. #nursingwithbenomi #naplesfl #pressureulcerprevention

This med should probably be changed or discontinued depending on why the pt is refusing #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl

When your patient refuses their meds #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #hospitalnurse

Assess for pain before you bring their pills in so you can do it all at once. #nursingwithbenomi #newnursehelp #naplesfl

Take care of yourself! #selfcare #selfcareishealthcare

How to improve your critical thinking skills #nursingwithbenomi #newnursehelp #naplesfl #thinking #criticalthinkingskills

Do this to help reduce the risk of pulling the wrong med/dosage #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #medication

Always double check your vs manually if out of range. #nursingwithbenomi #newnursehelp #naplesfl #vitalsigns

Listen to your patients to prevent med errors #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #medication

When taking care of an actively dying patient keep a timer going on your phone so you don’t lose track of time. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #dying

Here’s a time management tip for ya! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #timemanagement

Tips for administering eye drops #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #eye #eyedrop

Here’s what you need to know about me! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl

Keep learning to keep becoming a better nurse. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #learning

This is SUPER important. When a patient is refusing personal care, it can result in skin breakdown. There should be a record in the chart of the pattern of refusal a patient is having. The practitioner should also be aware as the reason behind the refusal needs to be investigated. Comment “progress note” to get the link to my progress note ebook now! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #refusal #elderlycare

Never ever document this. Just report to your supervisor. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl

Never document subjective statements, keep it objective and factual. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Don’t open up one more thing for state surveyors to look at, keep the incident report an internal document by not mentioning it in your progress note. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl

Here are some of the things you should always document when you get a new admission. Download my progress note ebook for example progress notes. Comment “progress note” for the link. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl

Whenever you document an abnormal assessment, you also have to document what you did. Download my progress note book for more tips! Comment “progress note” for a link now. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl

Document ‘open area’ rather than pressure ulcer. Comment “progress note” to get the link to my progress note ebook for sample progress notes. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #pressureulcers

Here are three things you should always document! Comment “progress note” to get my ebook with more tips like this! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Never add “at all times” to an intervention. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursinginterventions

Always write a progress note when you talk to a family member!

Steps to take when a patient dies in the nursing home. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Try a couple times to get them to take their meds. Education is an important part. Make sure they understand what they are refusing. If they refuse to take the meds, make sure to notify the PCP and write a progress note. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #meds

Huge shout out to all our awesome #cna workers! We couldn’t do our job without you. Thank you!! 🙏 #nursingwithbenomi #newnursehelp #nursinghome #SNF #naplesfl

A quick and easy acronym for writing progress notes! Comment “progress note” to get your copy of my progress note ebook today! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Tired of struggling writing progress notes? Grab my book today for 25+ sample progress notes to help you succeed. Comment “progress notes” to get your link now. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Feeling stumped on writing a progress note that’ll cover everything? Look no further! Want more examples like this? Comment “progress note” to get the link today! #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Here are three things you MUST do when you’re writing progress notes. What you should do is just as important as what you shouldn’t do! Pay attention! And get our progress note ebook to help your writing today. #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

You’re a nurse; you’re hustling on your med pass and trying to keep meemaw from falling. You’ve gotta get your progress note game down! Buy our progress note e-book to be prepared for anything. 😎 #nursingwithbenomi #newnursehelp #nursinghome #ltcnurse #SNFnurse #naplesfl #nursedocumentation📝

Three donts of progress notes! Don’t make these mistakes. For more examples, comment “progress note” to get your copy of my progress note ebook with 25+ progress note samples to help you succeed.

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